Factors affecting the levels of anxiety and depression among patients with end-stage renal disease undergoing hemodialysis

Qawaqzeh, Duaa Turki Ahmad; Masa’Deh, Rami; Hamaideh, Shaher H.; Alkhawaldeh, Abdullah; ALBashtawy, Mohammed

doi:10.1007/s11255-023-03578-1

Cited by 7 publications

(4 citation statements)

References 37 publications

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“…This could be because of the damage that long-term high blood pressure does to the kidneys' blood vessels and filtering systems. These findings are consistent with previous research (Eckardt et al, 2023;Kaneyama et al, 2023;Qawaqzeh et al, 2023;Sawhney et al, 2023) that has demonstrated the association between hypertension and renal dysfunction in individuals with type 2 diabetes. Regarding laboratory parameters, patients with hypertension had significantly higher total cholesterol levels compared to those without hypertension.…”

Section: Discussionsupporting

confidence: 93%

Prevalence and Determination of Hypertension among Diabetes Mellitus Patients Attending Primary Health Care Centres

Ibrahim,

Hashim Al - Nuaimy²

2024

MJN

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The primary objective of this investigation was to identify the root causes of hypertension in individuals with diabetes, as it represents a significant modifiable risk factor for various cardiovascular diseases and poses a major global public health challenge. Aim:To identify the prevalence and determination of hypertension among diabetes mellitus patients in Mosul City. Methods: This study is a data analysis that was obtained from primary health care centers based on a cross-sectional study. The study period was from the 1st of January to the 1st of July 2022. The study examined the prevalence of hypertension among diabetes mellitus patients attending primary health care centers: 303 patients with diabetes mellitus and 300 patients's hypertensions with diabetes mellitus. Patients' ages ranged from 40 to over 70 years, divided as follows: 40-49, 50-59, 60-69, and over 70 years old. As well as their genders, males, and females, who visited the primary health care centers in the right and left sectors and the Al-Wafaa Centre for Diabetes and Endocrinology in the city of Mosul, Iraq. Results:The study shows 15 determinants of hypertension among diabetes mellitus patients who are age (the highest rate is among patients 50-59years with 37.1%), gender (the highest rate among females with 64.3%), marital status (the highest rate among married with 45.2%), employment (the highest rate is among unemployed with 77%), duration of diabetes (the highest rate is among patients with diabetes and hypertension less than 5 years with 46.8%),smoking (the highest rate is among never smoking), BMI (the highest rate is among obese patient with 54.3%), family history with hypertension (96.7% of patients have family history), sedentary activity (52.2% of patients set less than 4 hours ), sleep duration (66.6% of patients sleep more than 7 hours), stress (63.2% of patients have moderate to high stress), salt consumption after diabetes (33.4% of patients stopped salt consumption at all), physical activity (62.7% of patients do moderate physical activity ), level of education (52.7% of patients educated with primary school ),and residency (52.6% of patients live in the left side of Mosul city). Conclusion:This study concluded that the factors most affected by high blood pressure that affected patients were age, especially 50-59, BMI (obesity), occupation (for non-workers), family history, high stress, and little physical activity

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Section: Discussionsupporting

confidence: 93%

Prevalence and Determination of Hypertension among Diabetes Mellitus Patients Attending Primary Health Care Centres

Ibrahim,

Hashim Al - Nuaimy²

2024

MJN

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“…This illustrates the uneven distribution of respondents, so the results do not fit with the theory that education level can affect anxiety levels. Another factor in reducing anxiety as a trait was education (Qawaqzeh et al, 2023). The result is consistent with previous studies, which also found no correlation between respondents' education and anxiety levels.…”

Section: Relationship Between Educational Level and Anxiety Levelsupporting

confidence: 90%

“…Compared to other chronic diseases like diabetes or congestive heart failure, their incidence is significantly higher. In addition to depression, patients also suffered from anxiety with about 50% of patients showing increased levels of anxiety (Qawaqzeh et al, 2023). People with chronic renal disease who are receiving hemodialysis experience anxiety.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Socio-Demographic Factors Influencing Anxiety in Hemodialysis Patients

Anggraini,

Susilo Budi Pratama

2024

JPK

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Background: Advanced chronic kidney disease patients need hemodialysis, the most used method of renal replacement therapy today. The patient will receive hemodialysis therapy for the rest of their life so that it can have a psychological effect like anxiety. Aims: This study aims to examine the socio-demographic variables affecting anxiety in hemodialysis patients. Method: This research used a cross-sectional analytical observational study design. A total sampling technique was used in this research. From 113 outpatient hemodialysis patients in March 2023, 80 samples of patients at Roemani Semarang Hospital met the inclusion and exclusion criteria. Inclusion criteria were patients undergoing hemodialysis at Roemani Semarang Hospital who were willing to participate in the study. Exclusion criteria were incomplete questionnaires, patients with impaired consciousness, patients with communication disorders, and patients using anti-anxiety medication. The information collected was primary information from questionnaires and interviews. The data were tested using the Spearman test with a significance level of p<0.05 for age and family support, and the chi-square test for gender, employment, and educational status. Results: The statistical analysis showed a p-value of 0.704 for age, a p-value of 0.020 for gender, a p-value of 0.558 for employment, a p-value of 0.138 for educational level, and a p-value of 0.000 for family support. Conclusion: The results showed a significant relationship between gender and family support with anxiety levels. The higher the family support, the lower the anxiety level. There is no relationship between age, employment, and education level with the anxiety level of patients undergoing hemodialysis at Roemani Semarang Hospital.

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“…One study have identified various predictors of anxiety, including creatinine level, fatigue level, duration of hemodialysis, number of dialysis sessions per week, blood urea nitrogen level, and age. 11 Additionally, anxiety disorders have been consistently linked to lower perceived quality of life and poorer behavioral adherence in patients. It is important for healthcare providers to recognize and address anxiety in these patients, as it can significantly impact their well-being and treatment adherence.…”

Section: Introductionmentioning

confidence: 99%

Anxiety in patients treated with hemodialysis

Yunia,

Saragih,

Damanik

et al. 2023

JPMS

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Patients with renal failure undergoing hemodialysis often experience anxiety due to various individual, socioeconomic, and environmental factors. This study aimed to analyze the factors associated with anxiety in these patients. This was a quantitative, cross-sectional study. The risk factors for anxiety investigated in this study were education, duration of hemodialysis, knowledge, and family support. The study included 50 patients with renal failure undergoing hemodialysis (total sampling). Data were collected directly by distributing questionnaires to the patients. Data were analyzed using the chi-square test and logistic regression analysis (α=0.05). The results showed that education level was not significantly associated with anxiety in these patients (p= 0.816). However, the duration of hemodialysis (p= 0.023) and patient knowledge (p= 0.048) were significantly associated with the anxiety experienced by the patients. Family support was a protective factor against anxiety in these patients (P = 1.00). The dominant variable affecting patient anxiety is the duration of hemodialysis (p=0.041; PR = 4.1; 95%CI 1.061-16.107). This means that patients undergoing hemodialysis for more than 6 months are 4.1 times more likely to experience moderate anxiety compared to patients who have been undergoing hemodialysis for 6 months or less.

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Factors affecting the levels of anxiety and depression among patients with end-stage renal disease undergoing hemodialysis

Cited by 7 publications

References 37 publications

Prevalence and Determination of Hypertension among Diabetes Mellitus Patients Attending Primary Health Care Centres

Prevalence and Determination of Hypertension among Diabetes Mellitus Patients Attending Primary Health Care Centres

Analysis of Socio-Demographic Factors Influencing Anxiety in Hemodialysis Patients

Anxiety in patients treated with hemodialysis

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